2017 Pre-Season Pee Wee Clinic

2017 Pre-Season Pee Wee Clinic *For DCYH players eligible for Pee Wee level hockey during the 2016-2017 season.

Come join other Dodge County Pee Wee players as we finish the summer strong and prepare for the upcoming season. A combination of skill-building games and activities as well as coach-controlled scrimmages will make up the majority of our five on-ice sessions. Friday August 18 Friday August 25 Friday September 8 Friday September 22 Friday September 29

7:45-9:00 PM 7:45-9:00 PM 7:45-9:00 PM 4:30-5:45 PM 4:30-5:45 PM

All players must provide their own equipment. Please complete the registration form below and submit with payment on/before July 31 to: Brandon Macrafic 504 10th Ave NE Kasson, MN 55944 For questions please contact Eric Ellinghysen at:

Please write checks payable to Brandon Macrafic Skaters—$50 Goalies—$25 Spots will be filled on a first-come first served basis

507-251-7527 or [email protected] Player Name: ___________________________________ Date of Birth: _____ / _____ / ______ Parent Name: __________________________________

Phone #:_______________________

E-mail: ________________________________________

Position (circle one):

Skater Goalie

Emergency Contact Name and Phone #: _______________________________________________ Release of Liability: I acknowledge the fact that ice hockey is a sport with inherent risk of injury. I recognize, accept, and assume this risk and release Dodge County Ice Arena, its affiliates, and employees as well as all on-ice instructors and coaches from any and all liability. I authorize the staff to take action should a medical emergency arise: Parent Signature: ______________________________________ Date: _____ / _____ / _____